Sigmoid volvulus

Case contributed by Albert Asatryan
Diagnosis certain

Presentation

Abdominal pain.

Patient Data

Age: 75-years-old
Gender: Male

CT Abdomen and pelvis

ct
This study is a stack
Coronal C+ portal
venous phase
This study is a stack
Axial C+ portal
venous phase
Download
Info

Sigmoid volvulus.

Case Discussion

There is a large gas-filled loop without haustral markings measuring up to 14 cm. The rectum and distal sigmoid is collapsed. There is a twisting of the mesentery and mesenteric vessels (whirl sign).

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